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array:23 [ "pii" => "S0014256516302016" "issn" => "00142565" "doi" => "10.1016/j.rce.2016.12.003" "estado" => "S300" "fechaPublicacion" => "2017-04-01" "aid" => "1341" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "copyrightAnyo" => "2017" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Clin Esp. 2017;217:171" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 89 "formatos" => array:2 [ "HTML" => 62 "PDF" => 27 ] ] "itemSiguiente" => array:18 [ "pii" => "S0014256516301667" "issn" => "00142565" "doi" => "10.1016/j.rce.2016.10.011" "estado" => "S300" "fechaPublicacion" => "2017-04-01" "aid" => "1326" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2017;217:172-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 33 "formatos" => array:2 [ "HTML" => 21 "PDF" => 12 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Correspondencia</span>" "titulo" => "Infradiagnóstico de enfermedades crónicas somáticas en pacientes con trastorno mental grave" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "172" "paginaFinal" => "173" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Underdiagnosed chronic somatic illnesses in patients with severe mental disorder" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1122 "Ancho" => 1625 "Tamanyo" => 128249 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Proporción de pacientes que recibieron un nuevo diagnóstico.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C.M. Rodríguez-Leal, E. López-Lunar, J.M. Carrascosa-Bernáldez, A. Rivera-Villaverde" "autores" => array:4 [ 0 => array:2 [ "nombre" => "C.M." "apellidos" => "Rodríguez-Leal" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "López-Lunar" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Carrascosa-Bernáldez" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Rivera-Villaverde" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256516301667?idApp=WRCEE" "url" => "/00142565/0000021700000003/v1_201703290111/S0014256516301667/v1_201703290111/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S001425651630193X" "issn" => "00142565" "doi" => "10.1016/j.rce.2016.11.006" "estado" => "S300" "fechaPublicacion" => "2017-04-01" "aid" => "1335" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Clin Esp. 2017;217:170" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 91 "formatos" => array:2 [ "HTML" => 59 "PDF" => 32 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Medicina en Imágenes</span>" "titulo" => "Mieloma múltiple: inicio como plasmocitoma en la base del cráneo" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "170" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Multiple myeloma: Presenting as intracranial plasmacytoma" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1357 "Ancho" => 1500 "Tamanyo" => 205425 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Zanabili Al-Sibai, S. Sánchez-García, D. Rubio-Solís" "autores" => array:3 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Zanabili Al-Sibai" ] 1 => array:2 [ "nombre" => "S." "apellidos" => "Sánchez-García" ] 2 => array:2 [ "nombre" => "D." "apellidos" => "Rubio-Solís" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S001425651630193X?idApp=WRCEE" "url" => "/00142565/0000021700000003/v1_201703290111/S001425651630193X/v1_201703290111/es/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Medicine in image</span>" "titulo" => "Macroglossia" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "171" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "S. Singh Bakshi, S. Bhattacharjee" "autores" => array:2 [ 0 => array:4 [ "nombre" => "S." "apellidos" => "Singh Bakshi" "email" => array:1 [ 0 => "saty.bakshi@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "S." "apellidos" => "Bhattacharjee" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Dept of ENT and Head & Neck Surgery, Mahatma Gandhi Medical College and Research Institute, Pillaiyarkuppam, Pondicherry, India" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Dr Smilez Dental Clinic, Pondicherry, India" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Macroglosia" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 948 "Ancho" => 850 "Tamanyo" => 159076 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 38-year-old male patient presented with difficulty in speaking and swallowing for the past 2 years, symptoms associated with a progressive enlargement of the tongue. On examination, macroglossia (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) was noted, the remaining systemic and neurological examination being within normal limits. Hematological parameters were normal and tests to rule out amyloidosis, hypothyroidism, acromegaly and other congenital abnormalities were negative. A diagnosis of idiopathic macroglossia was made, and reduction glossectomy was performed. The postoperative histopathology showed hypertrophy of skeletal muscle fibers. The patient's symptoms improved after surgery and he was asymptomatic at the 1-year follow up.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Macroglossia is present when the tongue protrudes beyond the teeth during resting posture or the impression of teeth is found on the lingual border when the patient slightly opens their mouth. Various classification systems have been proposed, but two common ones are the Myer classification which subdivides macroglossia as generalized or localized, and the Vogel classification which subdivides macroglossia as true or relative. The most common etiologies include vascular malformations, especially lymphatic, and muscular hypertrophy. Congenital macroglossia is generally seen in Down's syndrome and Beckwith-Wiedemann syndrome. Patients may present with a combination of dysphagia, dyspnea, dysphonia, cosmetic deformity or drooling of saliva. Other causes include amyloidosis, myxedema, acromegaly, mucopolysaccaridosis, multiple endocrine neoplasia type 2B, and tongue tumors. Treatment includes the identification and correction of the underlying pathology and reduction glossectomy to reduce the size of the tongue.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2016-11-09" "fechaAceptado" => "2016-12-13" "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 948 "Ancho" => 850 "Tamanyo" => 159076 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/00142565/0000021700000003/v1_201703290111/S0014256516302016/v1_201703290111/en/main.assets" "Apartado" => array:4 [ "identificador" => "1065" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Medicina en imágenes" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00142565/0000021700000003/v1_201703290111/S0014256516302016/v1_201703290111/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256516302016?idApp=WRCEE" ]
